To identify the factors affecting the esthetic outcome of implant-supported single crowns in periodontal
patients, thirty-four periodontitis patients with implants were consecutively examined for esthetic outcomes. A
questionnaire was used to measure the satisfaction of patients with peri-implant soft tissues, implant crown, smile,
and total implant treatment using a visual analogue scale (VAS). Ten clinicians applied the Pink and White Esthetic
Score (PES/WES) to each patient. The association between the clinical factors and the degree of patient satisfaction
was analyzed using the Pearson chi-square test. The mean overall patient’s satisfaction was 80.2 % and the mean
PES/WES was 12.67. Peri-implant tissue biotype was significantly associated with the degree of patient satisfaction
on papilla height, contour, color, and labial mucosa surface. A thick peri-implant tissue was the only significant
factor in determining the degree of patients’ satisfaction in periodontal patients. However, all patients reported
acceptable esthetic outcomes.